Puget Sound ID Number Name First Last Puget Sound Email Address Do you also have an academic sanction from the university? Yes No In order to re-enroll following the imposition of Academic Suspension, a student is required to petition the Academic Standards Committee for reinstatement after the end of the suspension period. Are you returning from a medical withdrawal? Yes No In order to re-enroll following a medical withdrawal, a student must provide the Director of CHWS a re-enrollment petition. Describe the circumstances that influenced your inability to successfully complete the required number of units and/or maintain the minimum grade point average required for financial aid eligibility for the previous academic term. Please provide a response that shows personal reflection, thoughtful effort, and is at least 2 paragraphs. Describe the plan of action you will have in place for the upcoming term for academic improvement. Explain what steps you’ve taken to resolve the circumstances listed above and include what resources you plan to utilize to demonstrate your commitment for success. Some examples include working with faculty advisors, academic and career advising, the center for writing and learning, tutors, attending study groups, a specific study routine, lessening extracurricular activities, or meeting with CHWS for counseling, or health & wellness service. Please provide a plan of action that is specific and achievable.